Abstract：
UNASSIGNED: Nearly half of all pregnancies worldwide are unintended. Intrauterine devices are an effective, long-acting form of pregnancy prevention that require minimal maintenance, and also can be used in patients with menorrhagia. However, they are underused because of pain associated with their insertion. Topical and local anesthesia are good options for reducing procedural pain in select patients. IUD placement falls within the scope of practice for physician associates/assistants (PAs) practicing in family medicine, internal medicine, and women\'s health. PAs should be aware of these additional analgesia options available to patients in order to increase use of effective contraception.
摘要：
■全世界近一半的怀孕是意外的。宫内节育器是一种有效的，需要最少维护的长效妊娠预防形式，也可用于月经过多患者。然而,由于与插入相关的疼痛，它们未被充分利用。局部麻醉和局部麻醉是减少特定患者手术疼痛的良好选择。宫内节育器的放置属于家庭医学执业医师助理/助理（PA）的执业范围，内科，和妇女的健康。PA应该意识到这些可用于患者的额外镇痛选择，以增加有效避孕的使用。
